Provider Type Icon

EAST GEORGIA HMA PHYSICIAN MANAGEMENT LLC NPI 1487983151

NPI Profile

NPI: 1487983151

Provider Name: EAST GEORGIA HMA PHYSICIAN MANAGEMENT, LLC

Classification: Internal Medicine - 207RC0000X

Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1497 FAIR RD
STATESBORO, GA
ZIP 30458

Phone: (912) 486-1626

EAST GEORGIA HMA PHYSICIAN MANAGEMENT, LLC is a cardiovascular disease internal medicine in Statesboro, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. EAST GEORGIA HMA PHYSICIAN MANAGEMENT, LLC NPI is 1487983151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1497 FAIR RD
STATESBORO, GA
ZIP 30458-822
Phone: (912) 486-1626

The provider's authorized official is Michael Swaw .
The authorized official title is Director and has the following contact phone number (615) 778-8076.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 11/19/2015.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2084N0400X Psychiatry & Neurology Neurology No
2 207RG0100X Internal Medicine Gastroenterology No
3 363A00000X Physician Assistant No
4 207R00000X Internal Medicine No
5 208000000X Pediatrics No
6 207RC0000X Internal Medicine Cardiovascular Disease Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/8/2017